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Williamson County Juvenile - Furlough Request Reset Mentoring
Furlough Request Information from Reset Mentoring Mentors for their assigned CORE teens in the facility.
In the "Your Email" box below - please make sure to type in the CASE MANAGERS email address so they can receive a copy of these responses.
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Email
*
Your email
Teen Name(s)
*
Your answer
Case Manager(s) Name
*
Your answer
Phase
*
Your answer
Date of Requested Furlough
*
Your answer
Mentor Name
*
Your answer
Parent(s) Name
*
Your answer
Type of Furlough: 5-Hour Mentor Furlough
Name of Business,
Exact
Street Address, City, State, and Zip Code:
*
Your answer
Summary of what youth will be doing at the requested locations:
*
Your answer
All individuals participating in the furlough?
*
Your answer
Specific Time the Youth will be released?
*
Your answer
Specific Time the Youth will be returned?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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